Active NPI
Raishunn Denita Sanders
- Physical Therapy Assistant
- Pascagoula, MS
National Provider Identifier
1568934644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- LPTA2303
- Practice address
- 2809 Denny Ave
Pascagoula, MS 39581-5301 - Phone
- (228) 809-5020
- NPI assigned
- Dec 29, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | LPTA2303 | MS | Primary |
Addresses
Primary practice location
2809 Denny Ave
Pascagoula, MS 39581-5301
Mailing address
4752 Sugarmill Rd N
Eight Mile, AL 36613-3748
Phone (251) 442-4046
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPTA2303 | MS | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546041600000",
"number": "1568934644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4752 SUGARMILL RD N",
"city": "EIGHT MILE",
"state": "AL",
"postal_code": "366133748",
"telephone_number": "251-442-4046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2809 DENNY AVE",
"city": "PASCAGOULA",
"state": "MS",
"postal_code": "395815301",
"telephone_number": "228-809-5020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "RAISHUNN",
"middle_name": "DENITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-29",
"last_updated": "2018-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MS",
"license": "LPTA2303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pascagoula, MS
- Olivia Russell
- Alicia Desiree Davion Rutledge
- S & S Pharmacy Inc (Rx Express Pharmacy of Pascagoula)
- Saint Francis Community Services at Mississppi, Inc.
- Samuel Joseph Simmons III, Inc.
- Hillary Weaver Saucier, NP
- Amy Savell Savell
- Dean Allen Scheurich, DMD
- Ebony Denise Scott, CPSS
- Serendipity MPH (North Bay Counseling and Behavioral Health Consultants)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.